Healthcare Provider Details

I. General information

NPI: 1396276358
Provider Name (Legal Business Name): MEGHAN COHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGHAN STUMPF MD

II. Dates (important events)

Enumeration Date: 03/22/2017
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 CHILDRENS WAY STE W1100
PROSPER TX
75078-7926
US

IV. Provider business mailing address

3405 MIDWAY RD STE 650
PLANO TX
75093-8139
US

V. Phone/Fax

Practice location:
  • Phone: 469-949-5437
  • Fax:
Mailing address:
  • Phone: 972-473-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2017017618
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberU2468
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: